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Bart Trentham, Pllc

Bart Trentham, Pllc is a health care provider in Tulsa, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 4870 S Lewis Ave -180 Tuls., Tulsa, OK 74105, US
Practice Location Phone918-628-7277
Practice Location Fax918-742-7677
Legal Business NameBART TRENTHAM, PLLC
NPI ?1881917151
Entity TypeOrganization
Enumeration Date ? Mar 1, 2010
Last Update Date ? Mar 1, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bart Trentham, Pllc

SpecialtySpecializationLicenseLicense State
Psychologist 763Oklahoma

legacy-id-icon Legacy Provider IDs of Bart Trentham, Pllc

Provider IdIssuer StateIssuer TypeIssuer
100840760DOklahomaMedicaid
100667880AOklahomaMedicaid

official-icon Authorized Official of Bart Trentham, Pllc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bart Trentham, Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Barton Jay Trentham (PH.D)
Authorized Official Title/PositionSOLE OWNER
Authorized Official Phone Number918-628-7277